ADULT HEALTH HESI

ADULT HEALTH HESI ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS A+ STUDY MATERIAL VERIFIED BY EXPERT

What is pulsus paradoxus? correct answers decrease in >10mmHG in systole during inspiration Diuretics put a patient at risk for _________________ imbalance. correct answers electrolyte What is Chovstek's sign? correct answers sign of hypocalcemia. facial mm spasm when you tap in front of pt's ear. What is Trousseau's sign? correct answers BP cuff inflated and causes a carpal spasm. sign of hypocalcemia. How is urine sodium affected by poor kidney perfusion? correct answers it ...

Acute Kidney Injury (AKI) correct answers -Kidneys stop functioning over a short period of time Acute Kidney Injury Types: Prerenal correct answers Are causes that are external to the kidneys Causes: -Circulating volume depletion -Hypovolemic shock -Decreased cardiac output -Decreased peripheral vascular resistance -Renal artery obstruction Acute Kidney Injury Types: Intrarenal correct answers Are causes that directly injury the kidney's nephrons and lead to deterioration of...

Critical Care Environment correct answers Assist client with applying hearing aids/glasses -Physical environment and sensory deprivation (facilitate your client's ability to see and hear) Adjust device alarms based on client's condition -noise (try to limit unnecessary noise around your client) Speak calmly in audible but quiet voice-noise (try to limit unnecessary noise around your client -and this intervention also helps to decrease your client's anxiety) Encourage family to bri...

Dobutamine- Chronotropic correct answers Used to treat cardiogenic shock Cardiac output, preload, and contractility Venous vasodilator Inotropic medication Use when systolic is 70-100 Dopamine- Chronotropic correct answers Used to treat shock Vasoconstrictor Cardiac output, afterload, and contractility Inotropic medication Use when systolic is <70 and with signs of shock, bradycardia, hypotension Dose: 2-20 mcg/kg/min infusion titrated based on clinical re...

1. The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider? a. skin cool and clammy b. heart rate of 118 beats/min c. blood pressure of 92/56 d. O2 saturation of 93% on room air: Answer: a 2. Which assessment finding by the nurse caring for a patient receiving mechanical ventilation indicates the need for suctioning? a. the patient's respiratory rate is 32 breaths/min b. the patient has occas...

Exam 1 Material 1. When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder, the nurse uses punnett squares to show the couple the probability of their child having the disorder. Which statement by the nurse is accurate? A: “Each child would be a carrier of the disorder” 2) The sister of a pt diagnosed with BRCA gene- related to breast cancer asks the nurse “do you think I should be tested for this gene?” Which response by...

1 The nurse should assess the patient with left-side heart failure for which findings? (SATA) Paroxysmal nocturnal dyspnea Right upper quadrant pain Crackles in the lungs Regular vein distention Fatigue Orthopnea 2 A patient is being screened for diabetes and has two recent fasting blood glucose results of 132mg/dL (7.33mmol/L) and 146mg/dL (8.10mmol/L) How should these result be interpreted? The fasting blood glucose tests should be repeated two more times These results indic...

PAIN Definition: unpleasant sensory and emotional experience associated with actual or potential tissue damage Types of Pain: Acute Pain ■ Short lived ■ Results from SUDDEN, accidental trauma, surgery, ischemia, acute inflammation ■ Serves as warning sign ■ Activation of sympathetic nervous system: fight/flight ■ Sensory perception of pain (begins to feel better) as injury heals Chronic Pain ■ Lasts or recurs for indefinite period (more than 3 months) ■ Gradual onset...

● IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe hypokalemia. Which action should the nurse take? a. Administer the KCl as a rapid IV bolus b. Infuse the KCl at a rate of 10 mEq/hour. c. Only give the KCl through a central venous line. d. Discontinue cardiac monitoring during the infusion Rationale: IV KCl is administered at a maximal rate of 10 mEq/hr. Rapid IV infusion of KCl can cause cardiac arrest. KCl can cause inflammation of peripheral vein...